TY - JOUR
T1 - PIcture of the month
AU - Riepe FG
AU - Eichmann D
AU - Oppermann HC
AU - Schmitt HJ
AU - Tunnessen WW
AU - Jr
Y1 - 2001/05/01
N1 - 10.1001/archpedi.155.5.607
JO - Archives of Pediatrics & Adolescent Medicine
SP - 607
EP - 608
VL - 155
IS - 5
N2 -
A 15-MONTH-OLD boy had a history of unexplained bleeding from his gums for several weeks and fever for 2 days. He had been fed only cow's milk and oatmeal since age 4 months. On physical examination he had almost no spontaneous movement. His legs were held in a "frog leg" position (Figure 1), were swollen along the long bones, and were tender to palpation. His skin was dry and pale. Hemorrhages of the gingiva were obvious as were 2 blood-filled cysts of the lower canine teeth (Figure 2). The tympanic membranes were hyperemic, and evidence of middle-ear fluid was present. Palpable prominence of the costochondral junctions of the chest wall was noted.
SN - 1072-4710
M3 - doi: 10.1001/archpedi.155.5.607
UR - http://dx.doi.org/10.1001/archpedi.155.5.607
ER -